Provider Demographics
NPI:1942468392
Name:ROS, ADRIANA OKSANA (DO)
Entity Type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:OKSANA
Last Name:ROS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 CLIFTON AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3631
Mailing Address - Country:US
Mailing Address - Phone:973-472-1000
Mailing Address - Fax:973-472-1300
Practice Address - Street 1:1100 CLIFTON AVE
Practice Address - Street 2:SUITE F
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3631
Practice Address - Country:US
Practice Address - Phone:973-472-1000
Practice Address - Fax:973-472-1300
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-31
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241327207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology